Kaliedoscope Assisted Living Home

NPI 1033258280 - Assisted Living Facility - 310400000X

NPI Details
NPI 1033258280
Enumeration Date 02/05/2007
Last Updated 06/25/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TERRA L TERRA
Position ADMINISTRATOR
Phone (907) 486-8186
Fax (907) 486-6260
Practice Location
1331 MISSION RD
KODIAK AK, 99615-6583, US
Phone (907) 486-8186
Fax (907) 486-6260
Business Location
PO BOX 3923
KODIAK AK, 99615-3923, US
Phone (907) 486-8186
Fax (907) 486-6260
Toxanomy
Taxonomy Code 310400000X
License State Alaska
License Number 100372
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According to our database, Kaliedoscope Assisted Living Home NPI is 1033258280, taxonomy code is 310400000X and license number is 100372, license state is located at Alaska. Kaliedoscope Assisted Living Home physically located at 1331 Mission Rd, Kodiak AK, 99615-6583. NPI Number 1033115704 has the healthcare provider type.

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1033258280 NPI number is provided on an as is basis without warranty of any kind. 1033258280 is maintained by the National Plan & Provider Enumeration System. The contents of Kaliedoscope Assisted Living Home are for informational purposes only.